The Village of Tidewater, LLC
NPI 1457211773ActiveOrganization· Assisted Living Facility· Norfolk, VA
Assisted Living Facility in Norfolk, Virginia, registered in NPPES in November 2025. The authorized official on file is Shaquanna Timisha Godwin, Administrator.
Overview
| NPI | 1457211773 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 18, 2025 |
| Last updated in NPPES | Nov 18, 2025 |
| Certified by provider | Nov 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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